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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1
THIS FINANCING STATEMENT is presented to a filing officer for tiling pursuant to the Uniform Commercial Code: 3.
1, lkbto?Isl (Last Name First) and Address 2. Secured Parry srtd Address * For Filing Officerl0ate,Time, Number,sndFilirg
Office)
',yALLS, CLYDE ~ M.4RGA.RET
;
502 Sonth Market Ave.
Ft. Pierce, Fl. 33450 tt-
a. This f inartcirtg statement covers the following rypeslor items) of property: /Check boc which oppllesr
Al! of the household jurnlture and furnishing; electrical acrd gas appliance; inrludirrg telr?~ision
® srt; phonogmphc and record P~Yer; rejngerutor; etc, and other personal properq• now owned
oral located at the resfdence of the 1?rbton at the addrestgiven above in Box 1.
? • 5. Assignee(s) of Secured Party and Addressles)
6. Check if true x~ The stamps required by Chapter 201, F.S. have been placed on the promissory instrument
secured hereby, and will be placed on any additional and similar instrument that may t;e so secured.
Ikxumentary stamps attached to original note and cancelled
This statement is filed without the Debtors signature to perfect a security interest in collateral. ICfxck ~ if so)
k ? Already subject to s security interest in another jurisdiction when it was brought into this state.
f ? which is proceeds of the original oollaceral described above in which a security interest was perfected:
6
Check x if covered: ~ Proceeds of Collateral are also covered.r]Products of Collateral are also covered No. of additional Sheets presented:
F~ledwith: ClerkojtheCircultCoartoj Counry,Flodda
Secured Party t
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• Debtor ` .
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Debtor STANDARD FORM - FO • . CC-1 Manager
* Type full and complete corporate name.
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